Individual
BRIAN DAVID KANYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2200 OAKENWALD DR, LONG BEACH, IN 46360-1527
(219) 874-9079
Mailing address
2200 OAKENWALD DR, LONG BEACH, IN 46360-1527
(219) 874-9079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05001725A
IN
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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